| NPI | 1346263688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO DR.0066404) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD037498E) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-05-04 |